| LONG DESCRIPTION |
Veterans enrolled in VA Health Care System may have an extended care copay
. Care authorized under 38 U.S.C. 1710(e) for Vietnam-era herbicide-
exposed Veterans, radiation-exposed Veterans, Persian Gulf War
Veterans, post-Persian Gulf War combat-exposed Veterans, or Camp
Lejeune Veterans pursuant to Section 17.400.
. Care for treatment of sexual trauma as authorized under 38 U.S.C.
1720D.
. Care or services authorized under 38 U.S.C. 1720E for certain
Veterans regarding cancer of the head or neck.
. A Veteran who VA determines to be catastrophically disabled, as
defined in 38 CFR 17.36(e), is exempt from copayments for adult day
if they DO NOT have one of the following:
health care, non-institutional respite care, and non-institutional
geriatric care.
. A Veteran receiving care for psychosis or a mental illness other than
psychosis pursuant to Section 17.109.
. A Veteran who was awarded the Medal of Honor.
. Receiving hospice care as part of extended care services
These Veterans do not have mandatory eligibility for nursing home
care and may be provided needed nursing home care on a space and
resources available basis.
. A Veteran with a compensable service-connected disability.
These Veterans may have copayments for extended care services provided by
VA (directly or paid for by VA), and are required to complete VA Form 10-
10EC. The monthly copayment amount is calculated based on VA Form 10-10EC
information.
Includes Veterans who may have to pay copayments for extended care services
provided by VA (directly or paid for by VA), because they refuse to provide
financial information but agree to pay VA the applicable copayment amount
(documented on VA Form 10-10EC).
. A Veteran whose annual income (determined under 38 U.S.C. 1503) is
For extended care services furnished through the Veterans Community Care
Program under Section 17.4000 through 17.4040, the copayment amount at the
time of furnishing such care or services by a non-VA entity or provider is
$0. VA will determine and assess the Veteran's copayment amount at the end
of the billing process, but at no time will a Veteran's copayment be more
than the amount identified in paragraph 38 CFR 17.111(b)(1) or (2).
less than the amount in effect under 38 U.S.C. 1521(b).
. Care for a Veteran's non-compensable zero percent service-connected
disability.
. An episode of extended care services that began on or before November
30, 1999.
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